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Individual

FIREW SISAY ENDALE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
16770 SW EDY RD, SHERWOOD, OR 97140-9678
(503) 216-9600
Mailing address
16770 SW EDY RD, SHERWOOD, OR 97140-9678
(503) 216-9600
(503) 216-9600

Taxonomy

Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
10015323
OR

Other

Enumeration date
07/14/2025
Last updated
07/16/2025
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